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Treatment contact coverage for probable depressive and probable alcohol use disorders in four low- and middle-income country districts : the PRIME cross-sectional community surveys

dc.contributor.authorRathod, Sujit D.en_ZA
dc.contributor.authorDe Silva, Mary J.en_ZA
dc.contributor.authorSsebunnya, Joshuaen_ZA
dc.contributor.authorBreuer, Ericaen_ZA
dc.contributor.authorMurha, Vaibhaven_ZA
dc.contributor.authorLuitel, Nagendra P.en_ZA
dc.contributor.authorMedhi, Girmayen_ZA
dc.contributor.authorKigozi, Freden_ZA
dc.contributor.authorShidhaye, Rahulen_ZA
dc.contributor.authorFekadu, Abebawen_ZA
dc.contributor.authorJordans, Marken_ZA
dc.contributor.authorPatel, Vikramen_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.contributor.authorLund, Cricken_ZA
dc.date.accessioned2017-09-19T13:47:47Z
dc.date.available2017-09-19T13:47:47Z
dc.date.issued2016
dc.identifier.citationRathod, S. D., et al. 2016. Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts : the PRIME Cross-Sectional Community Surveys. PLoS ONE, 11(9):e0162038, doi:10.1371/journal.pone.0162038
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0162038
dc.identifier.urihttp://hdl.handle.net/10019.1/102261
dc.descriptionCITATION: Rathod, S. D., et al. 2016. Treatment Contact Coverage for Probable Depressive and Probable Alcohol Use Disorders in Four Low- and Middle-Income Country Districts : the PRIME Cross-Sectional Community Surveys. PLoS ONE, 11(9):e0162038, doi:10.1371/journal.pone.0162038.
dc.descriptionThe original publication is available at http://journals.plos.org/plosone
dc.description.abstractContext: A robust evidence base is now emerging that indicates that treatment for depression and alcohol use disorders (AUD) delivered in low and middle-income countries (LMIC) can be effective. However, the coverage of services for these conditions in most LMIC settings remains unknown. Objective: To describe the methods of a repeat cross-sectional survey to determine changes in treatment contact coverage for probable depression and for probable AUD in four LMIC districts, and to present the baseline findings regarding treatment contact coverage. Methods: Population-based cross-sectional surveys with structured questionnaires, which included validated screening tools to identify probable cases. We defined contact coverage as being the proportion of cases who sought professional help in the past 12 months. Setting: Sodo District, Ethiopia; Sehore District, India; Chitwan District, Nepal; and Kamuli District, Uganda Participants: 8036 adults residing in these districts between May 2013 and May 2014 Main Outcome Measures: Treatment contact coverage was defined as having sought care from a specialist, generalist, or other health care provider for symptoms related to depression or AUD. Results: The proportion of adults who screened positive for depression over the past 12 months ranged from 11.2% in Nepal to 29.7% in India and treatment contact coverage over the past 12 months ranged between 8.1% in Nepal to 23.5% in India. In Ethiopia, lifetime contact coverage for probable depression was 23.7%. The proportion of adults who screened positive for AUD over the past 12 months ranged from 1.7% in Uganda to 13.9% in Ethiopia and treatment contact coverage over the past 12 months ranged from 2.8% in India to 5.1% in Nepal. In Ethiopia, lifetime contact coverage for probable AUD was 13.1%. Conclusions: Our findings are consistent with and contribute to the limited evidence base which indicates low treatment contact coverage for depression and for AUD in LMIC. The planned follow up surveys will be used to estimate the change in contact coverage coinciding with the implementation of district-level mental health care plans.en_ZA
dc.description.urihttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0162038
dc.format.extent15 pagesen_ZA
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.subjectDepressionen_ZA
dc.subjectSubstance use disordersen_ZA
dc.subjectDepression, Mental -- Treatmenten_ZA
dc.subjectCommunity surveysen_ZA
dc.titleTreatment contact coverage for probable depressive and probable alcohol use disorders in four low- and middle-income country districts : the PRIME cross-sectional community surveysen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyrighten_ZA


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